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Kelsey A Diederich, PT

Physical Therapist in St Cloud, MN. Individual provider (NPI-1).

NPI number1477092971
StatusActive
Last updated in NPPESJul 6, 2018

Details

NPI
1477092971
Entity type
Individual (NPI-1)
Name
Kelsey A Diederich
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2017
Last updated
Jul 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist9786MNYes

Practice location

St Cloud Hospital
1406 6th Avenue North
St Cloud, MN 56303-1901

Phone 320-251-2700 · Fax 320-656-7115

Mailing address

St Cloud Hospital
1406 6th Avenue North
St Cloud, MN 56303-1901

Phone 320-251-2700 · Fax 320-656-7115

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All 6 Physical Therapist providers in St Cloud · All 520 providers in St Cloud

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